Active NPI
Holly Landis
- Dental Assistant
- Anchorage, AK
National Provider Identifier
1548699358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 199194
- Practice address
- 1201 N Muldoon Rd
Anchorage, AK 99504-6104 - Phone
- (907) 257-6791
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 199194 | FL | Primary |
Addresses
Primary practice location
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Mailing address
7920 Anderson Cir Unit a
Jber, AK 99506-3453
Phone (850) 524-2064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199194 | FL | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1548699358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 ANDERSON CIR UNIT A",
"city": "JBER",
"state": "AK",
"postal_code": "995063453",
"telephone_number": "850-524-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N MULDOON RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995046104",
"telephone_number": "907-257-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "FL",
"license": "199194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.